比较血栓抽吸联合PCI与单纯PCI治疗低血栓负荷急性ST段抬高心肌梗死(STEMI)的效果  

To Compare the Efficacy of Thrombus Aspiration Combined with PCI and PCI Alone in the Treatment of Acute ST-segment Elevation Myocardial Infarction(STEMI)with Low Thrombus Load

作　　者：滕海蛟 TENG Haijiao(Fushun Mining Bureau General Hospital,Fushun 113008,China)

机构地区：[1]抚顺市矿务局总医院,辽宁抚顺113008

出　　处：《中国医药指南》2023年第27期80-82,共3页Guide of China Medicine

摘　　要：目的探讨低血栓负荷急性ST段抬高心肌梗死(STEMI)患者选用血栓抽吸联合PCI与单纯PCI治疗价值。方法取2018年10月至2019年10月接收60例低血栓负荷急性ST段抬高心肌梗死患者研究,将其均分为两组(随机表),对照组(n=30,选用单纯PCI治疗),试验组(n=30,选用血栓抽吸联合PCI治疗),对比不良事件发生率、心功能、手术时间、血流分级。结果试验组不良事件发生率(10.00%)较对照组(13.33%)低,χ^(2)=0.1617,P=0.6876。试验组心功能指标与对照组比无差异,P>0.05。试验组手术时间(73.11±18.16)min较对照组(63.14±11.42)min高,t=2.5455,P=0.0136。试验组支架抽吸后即刻试验组Ⅰ级、Ⅱ级、Ⅲ级、Ⅱ级+Ⅲ级与对照组相比无差异,支架植入后试验组Ⅰ级、Ⅱ级低于对照组,Ⅲ级、Ⅱ级+Ⅲ级高于对照组,组间对比差异有统计学意义。结论低血栓负荷急性ST段抬高心肌梗死患者选用血栓抽吸联合PCI治疗价值与单纯PCI治疗接近,在改善心功能指标、不良事件发生率等方面均无明确获益,且血栓抽吸联合PCI治疗手术时间较长。Objective To investigate the therapeutic value of thrombus aspiration combined with PCI and PCI alone in patients with acute ST-segment elevation myocardial infarction(STEMI)with low thrombus load.Methods 60 patients with low-thrombotic load acute ST-segment elevation myocardial infarction received from October 2018 to October 2019 were divided into two groups(random table),the control group(n=30 with PCI alone)and the experimental group(n=30 with thrombus aspiration combined with PCI),and the incidence of adverse events,cardiac function and operation time were compared.Results The incidence of adverse events in the experimental group(10.00%)was lower than that in the control group(13.33%),χ^(2)=0.1617,P=0.6876.There was no difference in cardiac function between the experimental group and the control group(P>0.05).The operation time of the experimental group(73.11±18.16)min was higher than that of the control group(63.14±11.42)min,t=2.5455,P=0.0136.Immediately after stent suction,there was no difference between the observation group's Ⅰ,Ⅱ,Ⅲ,Ⅱ+Ⅲ level and the control group.After the stent implantation,the experimental group Ⅰ and Ⅱ were lower than the control group,and the experimental group was Ⅲ and Ⅱ+Ⅲ is higher than the control group,the difference between the groups is statistically significant.Conclusion The value of thrombus aspiration combined with PCI in patients with low-thrombotic load acute ST-segment elevation myocardial infarction is close to that of PCI alone,and there is no clear benefit in improving cardiac function indicators,adverse event incidence,etc.,and the operation time of thromboaspiration combined with PCI is long.

关 键 词：血栓抽吸 PCI 低血栓负荷 急性ST段抬高 心肌梗死 心力衰竭 

分 类 号：R542.22[医药卫生—心血管疾病]